RT Journal Article T1 Anti-CA15.3 and Anti-CA125 Antibodies and Ovarian Cancer Risk: Results from the EPIC Cohort. A1 Cramer, Daniel W A1 Fichorova, Raina N A1 Terry, Kathryn L A1 Yamamoto, Hidemi A1 Vitonis, Allison F A1 Ardanaz, Eva A1 Aune, Dagfinn A1 Boeing, Heiner A1 Brändstedt, Jenny A1 Boutron-Ruault, Marie-Christine A1 Chirlaque, Maria-Dolores A1 Dorronsoro, Miren A1 Dossus, Laure A1 Duell, Eric J A1 Gram, Inger T A1 Gunter, Marc A1 Hansen, Louise A1 Idahl, Annika A1 Johnson, Theron A1 Khaw, Kay-Tee A1 Krogh, Vittorio A1 Kvaskoff, Marina A1 Mattiello, Amalia A1 Matullo, Giuseppe A1 Merritt, Melissa A A1 Nodin, Björn A1 Orfanos, Philippos A1 Onland-Moret, N Charlotte A1 Palli, Domenico A1 Peppa, Eleni A1 Quirós, J Ramón A1 Sanchez-Perez, Maria-Jose A1 Severi, Gianluca A1 Tjønneland, Anne A1 Travis, Ruth C A1 Trichopoulou, Antonia A1 Tumino, Rosario A1 Weiderpass, Elisabete A1 Fortner, Renée T A1 Kaaks, Rudolf AB Background: Neoplastic and non-neoplastic events may raise levels of mucins, CA15.3, and CA125, and generate antibodies against them, but their impact on epithelial ovarian cancer (EOC) risk has not been fully defined.Methods: CA15.3, CA125, and IgG1 antibodies against them were measured in 806 women who developed EOC and 1,927 matched controls from the European Prospective Investigation of Nutrition and Cancer. Associations between epidemiologic factors and anti-mucin antibodies were evaluated using generalized linear models; EOC risks associated with anti-mucin antibodies, by themselves or in combination with respective antigens, were evaluated using conditional logistic regression.Results: In controls, lower antibodies against both mucins were associated with current smoking; and, in postmenopausal women, higher levels with longer oral contraceptive use and later-age-at and shorter-interval-since last birth. Lower anti-CA15.3 antibodies were associated with higher body mass and, in premenopausal women, more ovulatory cycles. Higher anti-CA15.3 and anti-CA125 antibodies were associated with higher risk for mucinous EOC occurring ≥ 3 years from enrollment. Long-term risk for serous EOC was reduced in women with low CA125 and high anti-CA125 antibodies relative to women with low concentrations of both.Conclusions: We found general support for the hypothesis that anti-mucin antibody levels correlate with risk factors for EOC. Antibodies alone or in combinations with their antigen may predict longer term risk of specific EOC types.Impact: Anti-CA125 and anti-CA15.3 antibodies alone or in perspective of antigens may be informative in the pathogenesis of EOC subtypes, but less useful for informing risk for all EOC. Cancer Epidemiol Biomarkers Prev; 27(7); 790-804. ©2018 AACR. YR 2018 FD 2018-04-16 LK http://hdl.handle.net/10668/12355 UL http://hdl.handle.net/10668/12355 LA en DS RISalud RD Apr 7, 2025